| Allison Bombard Lcsw | |
|
18 Lydale Pl Meriden CT 06450-6125 | |
| (203) 514-4189 | |
| Not Available |
| Full Name | Allison Bombard Lcsw |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 18 Lydale Pl, Meriden, Connecticut |
| Authorized Official Name and Position | Allison Bombard (OWNER) |
| Authorized Official Contact | 2033392593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allison Bombard Lcsw 18 Lydale Pl Meriden CT 06450-6125 Ph: (203) 339-2593 | Allison Bombard Lcsw 18 Lydale Pl Meriden CT 06450-6125 Ph: (203) 514-4189 |
| NPI Number | 1952940140 |
|---|---|
| Provider Enumeration Date | 01/05/2020 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952940140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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